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Published on: June 11, 2011
Blood Transfusion-Associated HIV Infection in Children in Ibadan, Nigeria
Biobele J Brown1, Regina E Oladokun1, Babatunde O Ogunbosi1
11 Department of Paediatrics, College of Medicine, University of Ibadan, and University College Hospital, Ibadan, Nigeria.
Insights
Blood transfusion-associated HIV infection (TAHI) is a rare but serious concern in Nigerian children. Implementing optimal blood safety practices is crucial for preventing TAHI transmission.
Area of Science:
- Pediatrics
- Infectious Diseases
- Epidemiology
Background:
- Blood transfusion-associated HIV infection (TAHI) poses a public health challenge.
- Understanding the epidemiology of TAHI in children is essential for prevention.
Purpose of the Study:
- To describe the epidemiologic features and clinical course of TAHI in Nigerian children.
- To compare TAHI with vertically acquired HIV infection in children.
Main Methods:
- Retrospective study of children diagnosed with TAHI at University College Hospital, Ibadan.
- Comparison with a pediatric HIV database of vertically infected children.
Main Results:
- TAHI accounted for 2.3% of pediatric HIV cases (14/597) between 2004-2011.
- Mean age at diagnosis was significantly higher for TAHI (10.2 years) vs. vertical transmission (3.9 years).
- Blood transfusions occurred in both private (9 cases) and public (5 cases) hospitals.
Conclusions:
- Optimal blood safety practices are recommended to prevent TAHI in Nigeria.
- Enhanced screening and safety measures are vital for blood transfusions.
Introduction:
This study describes the epidemiologic features and clinical course of children with blood transfusion-associated HIV infection (TAHI) in Ibadan, Nigeria.
Methodology:
All children diagnosed to have TAHI at the University College Hospital, Ibadan, were studied and compared with children who acquired HIV vertically using the pediatric HIV database in the hospital.
Results:
Transfusion-associated HIV infection accounted for 14 (2.3%) of the 597 children diagnosed to have HIV infection between January 2004 and December 2011. The mean age at diagnosis of TAHI was 10.2 years and that of vertically acquired HIV infection was 3.9 years ( P < .001). In 9 cases, blood transfusion took place in private hospitals and in 5 cases in public hospitals. Median interval between infection and diagnosis of AIDS was 84 months in cases with TAHI and 48 months in vertically acquired cases ( P = .542).
Conclusion:
Optimal blood safety practices are advocated for prevention of TAHI in Nigeria.
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